Stephen J. Antonello, Incorporated
NPI #1326147133 in West St Paul, Minnesota
Provider Information
- NPI Number
- 1326147133
- Entity Type
- Organization
- Organization Name
- Stephen J. Antonello, Incorporated
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Sep 21, 2006
- Last Updated
- Jan 30, 2017
Practice Location
- Address
- 66 THOMPSON AVE E
- Address 2
- SUITE 102
- City
- West St Paul
- State
- Minnesota
- ZIP Code
- 55118-3184
- Phone
- (651) 688-2335
Authorized Official
- Name
- DR. STEPHEN JOHN ANTONELLO, PH.D.
- Title
- LICENSED PSYCHOLOGIST
- Phone
- (651) 688-2335
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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